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A case of encephalitis in a juvenile rheumatoid arthritis patient treated with etanercept (소아기 류마티스모양 관절염 환자에서 etanercept 사용 후 발생한 뇌염 1예)

  • Kwon, Ah Reum;Park, Eun Jung;Kim, Ki Hwan;Kim, Dong Soo
    • Clinical and Experimental Pediatrics
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    • v.53 no.2
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    • pp.262-266
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    • 2010
  • Tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$) is a major proinflammatory cytokine involved in the pathophysiology of juvenile rheumatoid arthritis. Etanercept is an effective inhibitor of $TNF-{\alpha}$ and has shown a beneficial effect in patients with JRA. However, the most important cause of concern related to etanercept administration is infection. We report a case of encephalitis in a JRA patient receiving long-term treatment with etanercept. The patient was a 4-year-old boy with refractory JRA, and he received etanercept subcutaneously at a dose of $0.4\;mg\;kg^{-1}\;day^{-1}$ twice a week for 14 months, along with non-steroidal anti-inflammatory drugs, methotrexate, oral steroids, and sulfasalazine. The patient presented with sudden fever, headache, vomiting, a generalized tonic seizure, and changes in mental status. We suspected a central nervous system infection, and simultaneously administered antibiotics, an antiviral agent, and steroids. After 2 days of hospitalization, his mental function returned to normal, and he showed no further seizure-like movements. Brain magnetic resonance imaging scan of the patient showed a multifocal cortical lesion on both sides of the temporoparietooccipital lobe, which indicated encephalitis. Although we were unable to identify the causative organism of encephalitis, we think that the encephalitis may be attributed to infection, and the use of etanercept may have increased the risk of severe infection. Therefore, etanercept was discontinued and the patient recovered shortly after. To the best of our knowledge, this is the first case of encephalitis in a juvenile rheumatoid arthritis patient treated with etanercept.

Novel Variations in Human Interleukin-29 and Their Association (사람의 Interleukin-29 유전자의 새로운 변이의 단리 및 그들의 연관)

  • Song, Ju-Hee;Chae, Soo-Cheon;Lee, Jae-Hoon;Chung, Hun-Taeg
    • Journal of Life Science
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    • v.14 no.2
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    • pp.275-279
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    • 2004
  • Gene polymorphisms of cytokines and their receptors are attractive candidates as genetic factors in the pathogenesis of immune-mediated diseases and have been reported to be associated with disease susceptibility to autoimmune, inflammatory and infectious diseases. IL-29 is one of important candidate genes for complex trait of genetic diseases but there is no published survey of single nucleotide polymorphisms (SNPs) in this gene. In this study, for the first time, we have examined the full genomic sequence of IL-29 including the promoter regions to identify SNPs. We examined the frequencies of genotypes and alleles at the SNP site of IL-29 in allergic rhinitis patients and non-allergic rhinitis controls using the direct sequencing method to determine whether this IL-29 SNP is associated with allergic rhinitis in Korean population. We identified one novel SNP (1184C>A) in the intron 2 and one novel variation site (-1842_-1841dupGA) in the promoter region of human IL-29 gene. The P values of SNP or variation site were not significant between the healthy controls and allergic rhinitis patients. Our results suggest that the 1184C>A polymorphism and -1842_-1841dupGA variation site in human IL-29 gene were not associated to allergic rhinitis.

LIFE CYCLE AND CHEMOTHERAPEUTIC CONTROL OF A FILARIAN WORM, PHILOMETROIDES CARASSII PARASITIC IN CARASSIUS AURATUS (붕어에 기생하는 철사충 Philometroides carassii의 생활사와 치료에 관하여)

  • OUK Dae-Han;CHUN Seh-Kyu
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.6 no.3_4
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    • pp.112-122
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    • 1973
  • Philometroides carassii (ISHII, 1931) is a parasitic nematode of Carassius auratus and gold fish. Recently a large number of parasitized fishes by this nematode have been reported by fish farmers in Korea. The present investigation was aimed to find out the life cycles of the parasites and effects of chemotherapeutic medicines on the emerged larvae from the adult parasites. Results of the study are summarized as follows : 1. Intermediate host of p. cararsii is a freshwater copepod, Cyclops sp. and the invaded lavae in the body cavity of copepod are capable for parasitizing the fish host after 3 hours of invasion. 2. The lavae eaten directly by the fish host are digested or excreted. 3. The larvae invaded in the fish intestine through the intermediate host pass into the body cavity in 1 to 10 days, and become subadult stage. After 18 to 20 months the subadults parasitic in the body cavity of the Carassius auratus, penetrate through muscle fissile into tile caudal fin where they become adults. Whereas those parasitic in the body cavity of the gold fish, 7 to 8 months the sutadults penetrate through muscle tissue into the caudal fin where they become adults. 1. Male subadults found in the body cavity of the Carassius auratus and gold fish, were larger than females, This is the first record of male subadults occurring in the fish host. 5. Among four different :drugs tested, most of all larvae died in 4 ppm of dipterex in 5 days. But no adults were harmed even in 6 ppm dipterex in 11 days.

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Usefulness of Clinical Scoring System in the Diagnosis of Group A Streptococcal Pharyngitis (인두염 환아에서 A군 연구균 검출의 임상적 점수제의 유용성)

  • Kim, Eun-Seong;Jung, Ji-Young;Cha, Sung-Ho;Lee, Hee-Joo
    • Pediatric Infection and Vaccine
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    • v.9 no.1
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    • pp.74-78
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    • 2002
  • Purpose : Proper diagnosis of group A streptococcal pharyngitis that may cause chronic diseases in childhood is not easy because its signs and symptoms would be nonspecific. Because results of classical throat culture delays for one to two days, we'd like to determine whether early antibiotics would be introduced with according to the clinical score system. This study was undertaken to evaluate of clinical usefulness of scoring system based on the clinical and laboratory findings. Methods : From Jan. 1998 to Dec. 2000, 10 clinical items based on modified 9 items by Breese in 1977 were checked in patients with pharyngitis who visited on outpatients clinic of pediatrics, Kyunghee University Hospital. We compared the results of throat culture with the points of clinical score system. Results : Out of 45 cases, the positive culture for Group A Streptococcus was 20 and negative culture was 25. When we applied more than 30 points of score, which correspond to 70 percentile of study population, the sensitivity and specificity were 35.0% and 96.0%, respectively. Conclusion : Although sensitivity was relatively low this scoring system, but the high specificity may be useful diagnostic tool in the areas where the rate of isolation of Group A Streptococcus is low.

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The Effect of Job stress related to COVID-19, Emotional labor and Empowerment on Retention intention of nurses working at a infectious disease-specialized hospital (일 감염병 전담병원 간호사의 COVID-19 관련 직무스트레스, 감정노동, 임파워먼트가 재직의도에 미치는 영향)

  • Kim, Haneul;Yang, Seung Ae
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.35-47
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    • 2022
  • This study aims to identify the degree of job stress related to COVID-19, emotional labor, empowerment, and retention intention of nurses in hospitals dedicated to infectious diseases, and confirmed the effect of job stress related to COVID-19, emotional labor, and empowerment on retention intention. The data collection of this study was conducted from August 27, 2021 to September 17, 2021 through a structured questionnaire targeting 162 nurses at an infectious disease hospital in S city. The data were analyzed analyzed using frequency and percentage, mean and standard deviation, t-test, ANOVA, Pearson's Correlation Coefficient, and multiple linear regression using SPSS/WIN 25.0. As a result of analyzing differences according to general characteristics, retention intention showed a significant difference according to work department and work satisfaction. And as a result of analyzing the correlation between retention intention and COVID-19 related job stress, emotional labor, and empowerment, it showed a significant negative correlation (r=-0.215, p=0.006) with job stress related to COVID-19 and a significant positive correlation (r=0.343, p<0.001) with empowerment. As a result of multiple linear regression analysis, job satisfaction, job stress related to COVID-19, and empowerment were identified as significant variables affecting retention intention (F=23.751, p<0.001), and the explanatory power was 30.0%. Through the above results, we intend to provide basic data for strategic development for efficient nursing manpower management.

A Case Study on Performance Analysis of Antimicrobial Copper Film Attaching to Window for Responding to COVID-19 and Others (코로나19 등 대응을 위한 "유리창 부착용 항바이러스 동필름" 성능분석 사례연구)

  • Kim, Seong Je
    • Journal of Korean Society of Disaster and Security
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    • v.14 no.1
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    • pp.23-40
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    • 2021
  • In the era of the global coronal 19 pandemic, there is a risk of cross-infection in hospitals at the stage where treatments and vaccines are currently being developed and marketed, so individuals should enhance their acquired immunity and generalize their living systems by the performance of copper ions in the social environment. In order to prevent the spread of infection, the need for anti-bacterial film and its efficacy were analyzed through anti-viral performance tests based on research and development cases of worldwide and immemorial time. he Korea Construction Research Institute (KCL) has received anti-bacterial performance certification and anti-viral test scores from the "National Approval Performance Certification Agency." At the time, NCCP 43326 Human Corona virus (BetaCoV/Korea/KCDC03/2020), which was approved by the Centers for Disease Control and Prevention, was introduced to ensure that the activity rate of infected cells was satisfied in the anti-viral performance test. Anti-proliferation measures for the Corona 19 virus require a quality clinical trial study comparing the experimental group within the glass space where the antiviral copper film is constructed with the comparator of the same condition without copper film.

Genetic Polymorphism of Avian Leukosis Virus Host Receptors in Korean Native Chickens and Establishment of Resistant Line

  • Lee, Kyung Youn;Shin, Yun Ji;Han, Jae Young
    • Korean Journal of Poultry Science
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    • v.49 no.2
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    • pp.99-108
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    • 2022
  • Avian leukosis virus (ALV) is a highly contagious retrovirus that causes tumors and has resulted in great economic loss worldwide owing to its high transmission rate. Various ALV viral subgroups exist, with infections occurring via specific host receptors. The susceptibility or resistance of avian species to the ALV-A and K subgroups is determined by the host receptor, the tumor virus locus A (tva) gene, while that to ALV-B depends on another host receptor, the tumor virus locus B (tvb) gene. The resistance alleles of tva and tvb have primarily been identified in China, but none have beendetected in Korea. We analyzed the frequencies of tva and tvb genotypes in White Leghorn (WL), Korean Ogye (KO), and Korean native chicken (KNC) breeds, and assessed the resistance to ALV subgroups. In WL, both tva and tvb had various genotypes, including susceptibility and resistance alleles, whereas in KO, tva and tvb resistance alleles were dominant. In KNC, tva susceptibility and resistance alleles were mixed, whereas tvb resistance alleles were dominant. In addition, we showed that there were differences in the splicing pattern of tva transcripts and the expression level of tvb transcripts within breeds. Finally, we confirmed that ALV resistance depended on KO and KNC genotypes by in vitro infection of chicken embryonic fibroblasts with ALV. These results highlight that some KO and KNC individuals are naturally resistant to ALV subgroups A, B, and K, and will facilitate the preservation of economically superior traits through selective breeding.

Systemic Acquired Resistance in Plants (전신획득저항성에 의한 식물병 방어기작)

  • Dawon, Jeon;Taekyung, Kim;Gah-Hyun, Lim
    • Journal of Life Science
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    • v.32 no.11
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    • pp.908-917
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    • 2022
  • Systemic acquired resistance (SAR) is a form of systemic immunity that prevents secondary infections of distal uninfected parts of plants by related or unrelated pathogens. SAR is mediated by several SAR-inducing chemicals or mobile signals that accumulate after pathogen infection. Several chemicals that move systemically have already been identified as SAR-inducing factors, despite the fact that the early mobile signal remains unclear. These chemicals can be transported into either the apoplastic or symplastic compartments. Many of the chemicals associated with SAR remain unknown in terms of their transport routes. There is recent evidence that azelaic acid (AzA) and glycerol-3-phosphate (G3P) are transported via plasmodesmata (PD) channels, which regulate the symplastic route. In contrast, salicylic acid (SA) is preferentially transported from pathogen-infected to uninfected parts via the apoplast. The pH gradient and SA deprotonation lead to apoplastic accumulation of SA before it accumulates in the cytosol. Moreover, there is evidence that the mobility of SA over a long distance is crucial for SAR and that the partitioning of SA into the symplast and cuticles is controlled by transpiration. Further research has shown that a portion of the total SA in leaves is partitioned into cuticular waxes. The purpose of this review is to discuss the role of SAR-inducing chemicals and the regulation of transport in SAR.

Antimicrobial Photodynamic Therapy on Pseudomonas aeruginosa Using a Diode Laser and PhotoMed, Methyl Pheophorbide A, or Radachlorin® (다이오드 레이저와 PhotoMed, Methyl Pheophorbide A, Radachlorin®을 이용한 녹농균에 대한 항균 광역학 요법)

  • Young-Kyu SONG;Keun-Dol YOOK;Ji-Won KIM
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.1
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    • pp.52-58
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    • 2024
  • Photodynamic therapy (PDT) activates intracellular oxygen using a photosensitizer activated by light of a specific wavelength and is a potential means of treating wound infections caused by antibiotic-resistant bacteria. Pseudomonas aeruginosa (P. aeruginosa) is typically non-pathogenic in healthy individuals but can induce severe illnesses like sepsis in the immunocompromised. Antibiotics have been conventionally used to treat P. aeruginosa infections, but increasing antibiotic resistance caused by drug misuse poses a growing challenge to the management of these infections. This study aimed to investigate the ability of PDT using photosensitizers (PhotoMed, Methyl pheophorbide A, or Radachlorin®) and a diode laser to inhibit P. aeruginosa. Suspensions of P. aeruginosa and a photosensitizer were inoculated into Petri dishes and incubated for 30 minutes. Samples were then irradiated with the laser at 3 J/cm2, and after incubation, colony areas were measured. P. aeruginosa killing rates were 79.65% for PhotoMed, 47.36% for Methyl pheophorbide A, and 40.91% for Radachlorin®. This study shows that PDT using a diode laser and a photosensitizer constitutes an effective practical therapeutic approach for inhibiting P. aeruginosa.

Antibiotic Spectrum and Mechanism of Centipedin (Centipede Scolopendra subspinipes multilans L. KOCH로부터 정제된 항균 물질 Centipedin의 항균 Spectrum 및 작용 Mechanism 연구)

  • Kim, Ki-Tae;Hong, Sa-Weon;Won, Ho-Shik;Kim, Hyo-Joon;Park, Kyung-Bae;Cho, Key-Seung
    • Korean Journal of Microbiology
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    • v.34 no.1_2
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    • pp.31-36
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    • 1998
  • A broad spectrum of antibiotic action was studied with Centipedin purified from centipede Scolopendra subspinipes multilans L. Koch aganist gram-positive, gram-negative bacteria and fungi. The minimal inhibitory concentrations(MICs) were determined in liquid medium. The significant antibiotic activity was obtained aganist gram-negative Klebsiella pneumoniae ATCC 8308 responsible for causing infection at lung and intestine. The MIC value against Klebsiella pneumoniae ATCC 8308 was $2{\mu}g/ml$, and this Centipedin was active against Proteus vulgaris NRRL B-123. In addition, it has been shown that Centipedin blocks procaryotic RNA transcription and a little of DNA replication system in vitro. Centipedin did not exhibit any significant cytotoxicity against animal cells such as human blood leukemia (HL-60) and mouse B lymphocyte myeloma cell.

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